rogers



F. 1. ROGERS.

COMBINED ACCIDENT AND IDENTIFICATION CERTIFICATE 0R POLICY. APPLICATION FILED MAR. I3. I918.

1,318,695. Patented Ct.14,1919.

The Blanfi Insurance Co. 1

H000 CERTIFICATE 47 E 1. I goo meet wIIh arcidenial deaih or uccIdenIaI dlsnbih'ig while traveling upon a common camer where such denih or dISObIIITQ l5 due to negIIqence a} the common earner.

and I; IhIs cerIi I'cafe is found sewed 10 your garments a? the Time 0] me qccidenf, the face vulva hereqj will be paid by The above Insurance Co, h):- /J 7 mm: W y

I L case of uccidtnf uoiijq' 6 Mercfianf's name 7 TM; wfijicafe expires one year mm i L A a COUPON x1111: Blanfi Insurance Co., 47

Guaramees Io ug M00000 I0 /9 MINE /j or benejIcIarg In case 0; accIdenIaI deaIII /f20 Benejiciarg's name ZZ Rddmss ThIs coupon expires one gun from Mama.

TIII: nuJIMnI/I r-mmnompu COW-WASHINGTON I). I:

i F; mamas- 3s noGEns -oFTARKEnsBunG; vrn"serum.

I ooM'BInE n Accmmrr AND IDENTIFICATION cnnr'iricA'inon ronicY.

speiiiauoaer LettersPatent;

Application filedillliarch 13, 1918; Serial No. 252,128.

- the object of the invention being to ,provide a policy which may be issued by ame'rchant:

1 to a customer purchasing a sult ofclothing given,-thus enabling; them tobepromptly tllor i or other similar article, and whichf may be attached to one of the garments worn by the insured,-'wl 1ereby the policy, may bereadily and conveniently carried for inspection or display and protectedagainst loss or displacement, and whereby in the event of the accidental death of or injury tothe insured the policymay be found yattaclied to'his .per

son for read-y liquidation and also to) f'serve as a means of identificat on of the person insured thereby.

A further object of the invention is to certificate or policy of,the char-- provide aacter described which maybe sewedto the garment of the wearer, which is" composed of some suitable durable and moisture proof material adapted-to permit of' the suitbeing cleansed without liablllty, of defac ng the printed matter upon the policy or other wise injuring the same, and which will not only identify the insured but will also serve as a means whereby the names of the insur ance company and the merchant will be communicated with by the proper ties.

A still further object of the invention is to provide a policy of the character described which will serve as an advertising medium for the merchant, and a source of convenience to the customer in enabling him to obtain insurance against accident at little or no cost, and which additionally provides a means for ready and rapid identification of the insured individual.

The invention consistsof the features of construction, combination and arrangement of parts, hereinafter fully described and claimed, reference being had to the accompanying drawing, in which Figure 1 is a face view of a combined accident and identification certificate or pohcy embodying my invention.

2 is a view indicating a mode in which the body of the policy may be attached toa garment of the insured. I

eferrmg to:the drawing 1 designates the policy or'certificate as a whole, which com-e prises a body ,ppitiqn ,or section 2 and a coupon P01431011 or-sectlon 3. These sections are preferably arranged one above the other,

and are in'tegral with each other, and adapt ed in practice tobe separatedalong a transverse weakened line 4.. i

The se'ctions 2 and 3 are. provided with suitable identifying" characters, such as the numeralt'l, as shown. in the. present instance, for indicating their relationship, to

wit, that they are parts of ,one'an'd the same certificate or p olicy. Each section 2 and 3;

is also provided with a suitable headindica tion or statement' to indicate 'itscharacter, the section 2 being proyidedin the present instance at; the top with the indication $l0OOcertificate together with-the pictorial illustration of a railway car, while the section 3 is provided a'ttop with the identifying word Coupon. The section 2 constitutes the policy proper, whileth'eseC- tion 3 constitutes a record coupon designed to be held by the merchant or transmitted to theinsurance company inorder that a proper record of the issuance of the policy or certific'atejmay be kept. v h

The section 2 is provided with a suitable statement of its purpose, or the terms or condlt ons underwhlch it ls'issued, followed by a suitably desi nated line or 7 space 5 to receive the name df to the party insured or any person named by him. The section 2 is further provided with a sultably designated line orspace 6 to receive the name of the merchant issuing the policy in h1s own name or as agent of the insured; which may be followed. by the words Or beneficiaryl, to indicate that in the event of accident the amount of the insurance will be paid either said company agrees to pay the sum of the policy to the insured or his beneficiary in case of accidental death, a suitably designated line or space 9 being provided to receive the name of the insured and suitable spaces 10 and 11 being provided to receive the name and address of the beneficiary. A space 12 is further provided on the coupon 3 to receive the date of issuance of the policy, and this may be preceded by a suitable statement that the coupon or policy expires at a certain period from said date.

I11 the use of the policy, it Will be understood that a merchant selling a suit of clothes or other garment to a customer may issue the policy to such customer Without charge, as a method of advertising, or may charge a small sum for the purpose, and that in issuing the policy the blank spaces are properly filled out and the sections 2 and 3 separated along the weakened transverse line 4. The body section 2 is then sewed to the lining 13 of the pocket of a coat or other garment 14-, While the coupon section 3 is transmitted to the insurance company or proper official in charge of the insurance records, for the purpose of indicating that the policy has been issued and to enable full particulars relating thereto to be kept. It will, of course, be understood that the policy may be issued by a dealer and sewed to the suit at the time it is made or that the policies may be issued by a maker of ready made garments and applied to the garments when they are made, so that the policies may be rendered effective at the time of sale by the merchant selling the garments. A large establishment in the clothing trade, or small establishment buying goods from such large establishment, or making suitable arrangements With an accident insurance company, will thus be enabled to issue accident policies as a method of advertising to its customers, Without charge to the customer or by merely adding a small sum to the selling price of the goods. In practice the policy may be made of any suitable durable and Water proof cloth or other material of such a character as to permit the suit to be frequently cleaned Without defacing or other- Wise injuring the policy.

It Will thus be understood that in the event of the death by accident of the insured, or injury to the insured, at any time While Wearing a garment to which the policy is attached, the policy will become instantly effective, and at the same time will serve as a means of identification, whereby, in the event that it is necessary for others than the insured to take action, notice of the death of or injury to the insured may be immediately transmitted to the company as Well as to the merchant. By this means the heirs or beneficiary of the insured may be readily and quickly reached and advised of the accident.

Having thus fully described my inven tion, I claim As an article of manufacture, a combined advertising device, accident and identifica tion insurance policy or certificate comprising integral body and coupon portions separable along a weakened line, said body portion adapted to be sewed to a garment and having inscribed thereon a suitable accident policy statement and designated spaces to receive the name of the insured and an advertiser issuing the policy, the said coupon section being removed from the said body prior to the attachment of the latter to the garment, the said coupon section havinglsuitably designated spaces to receive the name of the insured and name and address of the beneficiary, and the said body and coupon sections being provided with like identifying elements.

In testimony whereof I aflix my signature.

FRANCIS J. ROGERS.

Copies of this patent may be obtained for five cents each, by addressing the Commissioner of Patents, Washington, I). C. 

